Author/Editor		Steblovnik, Lili; Novak-Antolič, Živa
Title		Znamo prepoznati grozečo eklampsijo? Prikaz primera
Translated title		Can we recognise threatening eclampsia? Case report
Type		članek
Source		In: Bručan A, Gričar M, editors. Urgentna medicina: izbrana poglavja 6. Zbornik 7. mednarodni simpozij o urgentni medicini; 2000 jun 14-17; Portorož. Ljubljana: Slovensko združenje za urgentno medicino,
Publication year		2000
Volume		str. 365-9
Language		slo
Abstract		Introduction: Eclampsia is occurrence of convulsions, not caused by neurologic disease in a woman with criteria for preeclampsia. A test to predict eclampsia is not known. But there are typical signs and symptoms. Case: 21-years old gravida 1, para 0, did not attend antenatal care. She was first seeking medical help in 27th week of pregnancy. Arterial pressure 140/100 mmHg was recorded. Two days later she was complaining of epigastric pain, headache, vomiting and diarea and sent to the regional maternity unit. A day later, during examination, eclamptic fit occurred. She was properly treated with magnesium sulphate and diazepam and sent to perinatal centre as urgent "transport in utero". A caesarean section was performed and premature boy with intrauterine growth retardation was born. He was hospitalised for 80 days. The mother was postnataly without complications. Discussion: A pregnant woman was not recognised as an emergency case when signs and symptoms of threatening eclampsia evolved. Eclampsia is still one of the major causes of maternal mortality. Up to one third of cases occur out of the hospital. Criteria for preeclampsia that precede eclampsia are hypertension, proteinuria, thrombocytopenia, elevated serum urate and LDH. Classic symptoms are epigastric pain, headache and visual symptoms. Conclusions: Early recognition of threatening eclampsia by emergency doctors is crucial especially in women that are not attending antenatal care. The woman should be transferred after stabilisation, accompanied by a doctor. Arterial pressure and fetal wellbeing should be monitored.
Descriptors		PRE-ECLAMPSIA MATERNAL MORTALITY FETAL DEATH ECLAMPSIA ADULT PREGNANCY LABOR INTENSIVE CARE UNITS, NEONATAL PREGNANCY, HIGH-RISK HYPERTENSION CONVULSIONS